Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report

Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the...

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Veröffentlicht in:Journal of orthopaedics 2017-12, Vol.14 (4), p.515-519
Hauptverfasser: Yoshida, Takashi, Kim, Wook-Cheol, Oka, Yoshinobu, Nakase, Masashi, Nishida, Atsushi, Wada, Hiroaki, Arai, Yuji, Kubo, Toshikazu
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container_end_page 519
container_issue 4
container_start_page 515
container_title Journal of orthopaedics
container_volume 14
creator Yoshida, Takashi
Kim, Wook-Cheol
Oka, Yoshinobu
Nakase, Masashi
Nishida, Atsushi
Wada, Hiroaki
Arai, Yuji
Kubo, Toshikazu
description Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. Resection of the osteophytes and modified wedge osteotomy of the lateral condyle were then performed, and a favorable result was obtained by decompression and sufficient congruency of the radiohumeral joint.
doi_str_mv 10.1016/j.jor.2017.08.011
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A case report</atitle><jtitle>Journal of orthopaedics</jtitle><addtitle>J Orthop</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>14</volume><issue>4</issue><spage>515</spage><epage>519</epage><pages>515-519</pages><issn>0972-978X</issn><eissn>0972-978X</eissn><abstract>Abstract Multiple epiphyseal dysplasia (MED) may be complicated by osteochondritis dissecans (OCD), most commonly reported in the knee, but involvement of the elbow is very rare. Optimal treatment for MED-associated elbow OCD and treatment outcome have not been established. This report describes the case of an adolescent male patient with elbow OCD treated by arthroscopic drilling at a previous clinic. Progression of osteoarthritis and radial head subluxation were observed. 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subjects Elbow
Modyfied wedge osteotomy
Multiple epiphyseal dysplasia
Orthopedics
Osteoarthritis
Osteochondritis dissecans
Radial head subluxation
title Modyfied wedge osteotomy for osteoarthritis of elbow secondary to osteochondritis dissecans in adolecent with multiple epiphyseal dysplasia. A case report
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